Electrophysiological and functional outcome after carpal tunnel release in patients with carpal tunnel syndrome: A prospective evaluation

Background: Carpal tunnel syndrome (CTS) results from compression of the median nerve at the wrist. Intermittent compression of the nerve results in numbness and parasthesias. Surgical treatment is generally recommended in cases that fail to respond to conservative measures. A variety of surgical techniques have been described for the treatment of carpal tunnel syndrome. The open incision technique has some disadvantages related to the procedure. So, Recent studies aim to decrease these complications by mini open incisions. Performing a mini incision technique by using nasal instruments has tremendous advantages and very satisfying results. Objective: To assess the feasibility of the mini incision technique using nasal instruments to release carpal tunnel. Conclusion: In cases of a carpel tunnel syndrome, modified open technique by a mini incision technique by using nasal instruments having satisfying results, greatly improves all symptoms like pain severity tingling and numbness severity at day time and at night. No major complications like recurrence nor injuries occured.

show abstract

Carpal Tunnel Release Using Nasal Instruments

Hussein

Dabaany

Maher

et al. 2020

Fayoum University Medical Journal

View full text Add to dashboard Cite

show abstract

A Comparison of Functional Assessment of Pre- And Postsurgical Carpal Tunnel Syndrome Using Boston Carpal Tunnel Questionnaire and Nerve Conduction Study: A Prospective Study From a Tertiary Center of South India

Padmapriyadarsini

Navin

S³

et al. 2021

Global Journal for Research Analysis

View full text Add to dashboard Cite

INTRODUCTION: Carpal tunnel syndrome (CTS) is the most common entrapment syndrome of median nerve causing frequent disability especially among working populations. Boston Carpal Tunnel Questionnaire and Electrophysiological study helps in detecting and aiding in the diagnosis of CTS and helps in determining level of improvement after surgical release of carpal tunnel. OBJECTIVES: To assess functional outcome of patients with Carpal Tunnel Syndrome after surgery as assessed by Boston Carpel Tunnel Questionnaire and Electrophysiological study. METHODS: A prospective observational study conducted over a period of one year (January 2017 to January 2018). The study was conducted among consecutive 31 electrophysiological conrmed carpal tunnel syndrome attending the outpatient department of Physical Medicine and Rehabilitation, Government Medical College, Thiruvananthapuram. All patients underwent open carpal tunnel release. Functional outcome was assessed using Boston Carpal Tunnel Questionnaire (BCTQ) both preoperatively and at interval of 3 weeks, 6weeks and 3 months postoperatively. Electrophysiological study assessed using nerve conduction study both preoperatively and 3 weeks post operatively. Data was entered in Microsoft excel and analyzed using SPSS statistical software. RESULTS: The study involves 31 conrmed cases of Carpal tunnel syndrome patients. Mean Boston Carpal Tunnel Questionnaire (BCTQ) score preoperatively was 58.52 ± 12.73 which was markedly improved postoperatively at 3weeks with mean score of 29.77±6.68. At 6 weeks and 3 month follow up period it was reduced respectively to mean score of 23.94±4.23 and 22.94±4.62. Preoperative NCS shows decreased conduction velocity with mean nerve sensory velocity (NSV) score 21.51±8.19 and mean nerve motor velocity (NMV) score of 20.72±8.81 which statistically improved following surgery with mean NSV score of 32.04±9.01 and mean NML score of 33.78±8.1. Correlation between pre- and post-operative BCTQ and NCS parameters shows positive correlation with latency and negative correlation with amplitude and conduction velocity. Increased latency and decreased conduction velocity associated with higher BCTQ score with signicant 'p' value (p<0.05). CONCLUSION: There is statistically signicant improvement of functional outcome following carpal tunnel release surgery assessed through Boston Carpal Tunnel Questionnaire and Electrophysiological ndings

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Electrophysiological and functional outcome after carpal tunnel release in patients with carpal tunnel syndrome: A prospective evaluation

Abstract: Background: The Carpal tunnel syndrome (CTS) is median nerve entrapment neuropathy at wrist and is one of the commonly diagnosed disabling condition of the upper extremity.

Cited by 2 publications

References 13 publications

Carpal Tunnel Release Using Nasal Instruments

Carpal Tunnel Release Using Nasal Instruments

A Comparison of Functional Assessment of Pre- And Postsurgical Carpal Tunnel Syndrome Using Boston Carpal Tunnel Questionnaire and Nerve Conduction Study: A Prospective Study From a Tertiary Center of South India

Contact Info

Product

Resources

About